Active NPI
Regional Medical EMS LLC
- Land Ambulance
- Newnan, GA
National Provider Identifier
1215743737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- REGIONAL MEDICAL EMS LLC
- Practice address
- 4046 Highway 154 Ste 228
Newnan, GA 30265-2330 - Phone
- (404) 576-0964
- NPI assigned
- Dec 9, 2024
- Last updated
- Dec 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Floyd Lacoste, NA
- Title
- Ceo
- Phone
- (404) 576-0964
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
4046 Highway 154 Ste 228
Newnan, GA 30265-2330
Mailing address
4046 Highway 154 Ste 228
Newnan, GA 30265-2330
Phone (404) 576-0964
Other names 1
- Regional Medical EMS LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250310002428 | GA | Part B Supplier - Ambulance Service Supplier | 4880115690 | Practice locations: Newnan, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2307056 | Regional Medical EMS LLC | Certificate of waiver | Jun 30, 2028 |
National Provider Directory
National Provider DirectoryLocations
4046 Highway 154
Ste 228
Newnan, GA 30265
Phone (404) 576-0964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734480000000",
"number": "1215743737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4046 HIGHWAY 154 STE 228",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302652330",
"telephone_number": "404-576-0964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4046 HIGHWAY 154 STE 228",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302652330",
"telephone_number": "404-576-0964"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGIONAL MEDICAL EMS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-09",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A",
"authorized_official_last_name": "LACOSTE",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "FLOYD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "404-576-0964",
"authorized_official_credential": "NA"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Regional Medical EMS LLC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Regional Medical EMS LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.